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  1. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

    psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
    September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

  2. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. | PSNet

    psnet.ahrq.gov/issue/comparing-measures-patient-safety-inpatient-care-provided-veterans-within-and-outside-va
    March 04, 2011 - Study Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. Citation Text: Weeks WB, West AN, Rosen AK, et al. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA sys…

  3. The Economic Measurement of Medical Errors. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors
    March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

  4. Reported medication errors after introducing an electronic medication management system. | PSNet

    psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
    November 18, 2016 - Study Reported medication errors after introducing an electronic medication management system. Citation Text: Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.…

  5. Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet

    psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
    March 01, 2023 - Book/Report Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. Citation Text: Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Fol…

  6. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet

    psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
    November 20, 2019 - Study Comparing NICU teamwork and safety climate across two commonly used survey instruments. Citation Text: Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…

  7. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. | PSNet

    psnet.ahrq.gov/issue/patient-generated-research-priorities-improve-diagnostic-safety-systematic-prioritization
    February 24, 2021 - Commentary Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Citation Text: Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Patient Edu…

  8. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address
    June 22, 2022 - Commentary Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. Citation Text: Singh H, Mushtaq U, Marinez A, et al. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Add…

  9. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. | PSNet

    psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
    January 19, 2014 - Study Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. Citation Text: McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):56…

  10. Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

    psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes
    June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

  11. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
    March 16, 2022 - Study Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. Citation Text: Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…

  12. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

    psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
    October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

  13. Racial bias in cesarean decision-making. | PSNet

    psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
    June 02, 2019 - Study Racial bias in cesarean decision-making. Citation Text: Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  14. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

    psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
    April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

  15. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

    psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
    March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

  16. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
    March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

  17. Identifying high-risk medication: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
    June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

  18. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
    April 06, 2016 - Study The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. Citation Text: Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…

  19. Unintended medication discrepancies at the time of hospital admission. | PSNet

    psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
    March 18, 2015 - Study Classic Unintended medication discrepancies at the time of hospital admission. Citation Text: Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. Copy Cit…

  20. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…
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